HomeMy WebLinkAbout2068 ~tR8925
r ,w,,,~ CERTIFICATE OF DEATH "•n ~ - '
.....wwnwlq FLORIDA
ErEE ac~l+-+wfe ~+w awaE EwsE sEx o•n a oarN rr... wl.. r.J
a tOMA
..ErN«Ee i~ibilf,$ E• C~oodh?in Fties;ts,:~le Mitx. 29,1980
EtKE Dwr ua~.t. ws. Act-I.M E+.r., vote 1 rfwE v+Dee r Dwr DArt a wrN /r., w... r.J a>tlNrr a EW?nl
Aa taw~MCl piw.hl /In.l -
hhits 66 i•D~-~-s.K Nov.E-~-.~, . ~I~l 14 1913 ?._Martin ~
y---~---
ur?. wwN a EtlultloN a oeAa IIQeJITAt O! onaE raruurwN-+.... ra .r » ..u... w .•«...x ......1 ~liaEr. a rsE. lwa..
eon
h- MR'il C.~1 M~O."~ I~B_Pltdl ~x- ~t~eitt
E1ASE p EIEM /N.. r d1l[EN Oi W1M1 Colwlter ASAMItO NEVlE WwIEO. E41EVOfIMG SiOUEt IU N.. E+•. ....1
DJ.w...r .wrrl rt1IDDINEd.01tlOE[W /wNM1
~E.[OK~A~D R ED li. iSIQ'1~~ .
~ i vt 0 li OEASN ~ ED[Yl EEalEltr MIYEeE YAIAI O~IAf M711 Ai.[ ..d Mr v..., [IND Oi E1A11lEE a M~1;IEr
~CCU..FD W
~M"DN'~c'~"Er°io a r:. 298-32-1777 y,... ~~~.~,y'~r`" ~ p~ yome
as+oeNce-.awn oolw/rr air. row+a ?ourloN Weer ANO NurEet ws+oe atr uwn
r[N.+l. r.. w.1
r4 F1cs;ida rr St. Lucre I.t Part St. Lucie Iw 717 S.E. F110~e8t3 Dri .Yes 4
iArIDE~NAi,e hEE/ riIDOIE WE DEEf--YAIOEN /MYE fllSr M~OOIE UST
ts- C1 Stw~clifamd ra Iya e
urvErANr_,UEtE IrrN r h..U uNC ADDEFfE srrtn w e i D ND. arr a iowN Erwr! [r
t>. 717 S.E. Fl~oa~+esta Drive pbrt
EuEIAE. atE.lAr10N, EEYDVAE, only /s,•.:h1 ctrtrm a oftrArper-NArE wcArIDN an a lDeil+ irwrt
IEa rem IEc
MR1AE DIE i11NEEAt NDrE
Iw. ~ IR Yatss ~ InC. J: Vl 1..
' M E.M .1 rr, •n. W rla O.. l..n M ..rr..+....hr V 1.Ma.+ r.~
. M s r~...M M i .w. i. W t4..d Iu. ~ ~..W M.M. i
I[r.rr•~I rM1.1, • ~ ~ /y,..r.....r 6.1.1, i
OAi! EiG/E!0 r.J NDIIE p DtArN ~ ~ Wf! LWIED /Y•, _r.=.•. 7..) IIDUf Ot OEAM
j WI.E W /R7 b IAN IE OnKE 11MN pl1.NEE /frN r prl r' s ~ MoNOUNCED DEAD /Y... M. LJ MON01lKED OtAD /f...I
fw. ?tl ON 1M Ar ~ E1
/IAMt AND ADDtEEE O[ CEE11ilEE IA/rfK1AM, AStDICAI txAMIMEE) I t/N r r..Y1
S
An R. Marsicat>q M. D., 1038 E. Ocean Blvd., Stuart, Florida 33494
eewsrrAe - DArE eECelves n EtL1SEEN /x., w.i. r.J
M»:u. wvE r[. rE [crru a.ir ovc u row lu, t•~ 1.1.1 _ ~ Lrwl E..w.. «.«.r wwa
1 ~ D~~ I rMt W ~ ~ ~ tr7
U
E~E,.~~ _ Due ro. a As . caa[cutNa oE. I ~ w.d~~....
N ~
OIIE r0, a AS A CONSrQ{ItNCt Oi: ' I..r..l ?MU... rr ~M• ~
W ~ ~
IAEE OME SIrW1iKANI COfAIT.Of4--(.nyry.....ri~Iry 1. 6./. Ay w....l.ye q-,v. t~•.e r /~.l 1 I.1___ _ l~ilTpfr /f MAf CASE EEfE1tED TO YEDI(tl 1
r txA.INtE/t rrrwu -
n J s•. d t
KCIW M. Et11C10E r OArE Oi INMr /r•, [?1. r.J IIDIIE Oi N.wlEr OES[.IEE NDIM Wr/wr OCaIElED
. r VOlIEE.NNED /5,...hl
71.. 71t.-
r><. r n[
j w; 1•..w su. IN1UEr Ar t.O.c /s?...h r.. ?IILE W INAMr-w. w...., 1.......a. r«+n..K.. ?.++..E. IOGtgN Sr[EET OE ! i D. q. Urf a rowlE tTAn
• O1'~x tr. ni.
~ _ . v3i.17E
i
i
I
i
1
I hereby certify this to be a true and correct
g copy of the Local Registrar's record on file in
the Martin County Health Department in Stuart,
~ Florida.
. ~
~
(Warning: Not valid unless .raised seal of the
~ ` " ' Martin County Health Department is affixed .
~ f } r •e
Archie McCollister, M.D.
County Health Officer & Local Registrar
•
~ ~ z
~ -`'4 ~ ~j ate Deputy ca Reg s trar , .
a -
k
X88925
19~ JUN -9 AK ~ 16
FREO one etc I~~o
STf~~S~
PO~RA~A•
tlER1(CIRCUIfi COWL
i1F'~R'O YERiF1E0
i
aroK ~32 PAGE
- -